Organization
HIS HANDS FAMILY PRACTICE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLATUNDE SYNTHIA OLATUNJI (OWNER)
(678) 559-5803
Entity
Organization
Contact information
Practice address
6011 HENDRIX LN, MABLETON, GA 30126-3483
(678) 559-5803
Mailing address
6011 HENDRIX LN, MABLETON, GA 30126-3483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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